SPECIMEN
Serendipity NotaryFee receipt
No. ________
114 Stuart Rd. NE
Cleveland, TN 37312
| Date | ____________________ |
|---|---|
| Received from | ____________________ |
| Description | Notarial act (type) ____________________ Travel, if any ____________________ |
| Amount | $ ____________________ |
| Paid by | Cash / check / other ____________________ |
This paper records a fee. It does not identify a signer, does not certify a signature, and does not replace the notarial wording on the document. The notary stamp is applied to the document, never to this receipt.
Received by ___________________________
Wendy Sheets, Notary Public